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... for: Sr. Project Manager- PCI Compliance Title: Sr. Project Manager- PCI ... Title: Sr. Project Manager- PCI Compliance Location: Owings Mills, MD Duration: ... a four-year degree in Business,..
... Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description ... Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... monitoring all related behavioral health regulatory..
... including clinical areas, Case Managers, Compliance, Medical Records Coders and Auditors, ... Financial Services. B. Meeting all regulatory requirements including filing deadlines and ... levels. C. Maximize data for..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... in accordance with all legal, compliance, and regulatory requirements and programs. Adheres..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
What You Will Do: Healthcare Info Analyst II Full Time, ... report results on clinical outcomes, compliance and standards of care. Analyst ... supplying any data needed for regulatory compliance...
... Information Humana Actuary, Risk and Compliance in Bethesda Maryland Description This ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
... Information Humana Senior Insurance Product Compliance Professional in Bethesda Maryland Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
What You Will Do: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations ..
Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services across various hospitals for Inpatient services. Review documentation and related coding of inpatient services, auditing ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
... the organization's business plans in compliance with the Health Services Cost ... ensure accurate revenue recognition and compliance. These reports include, but are ... and accurate data capture in..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
Description The Coding Compliance Specialist obtains appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services. Analyzes denial and reject reports ..
